Analysis of Autonomic Nerve System by Analyzing the Herat Rate Variability(HRV) in Chronic Musculoskeletal Pain

만성통증환자의 심박변이도(Heart Rate Variability) 분석을 통한 자율신경계 특징에 관한 연구

  • Ha, Seon-Yun (Dept. of Acupuncture & Moxibustion, Kangnam Kyung Hee Korean Hospital, Kyung Hee University) ;
  • Kim, Dong-Min (Dept. of Acupuncture & Moxibustion, Kangnam Kyung Hee Korean Hospital, Kyung Hee University) ;
  • Cho, Seong-Yeun (Dept. of Acupuncture & Moxibustion, Kangnam Kyung Hee Korean Hospital, Kyung Hee University) ;
  • Im, In-Hwan (Dept. of Acupuncture & Moxibustion, Kangnam Kyung Hee Korean Hospital, Kyung Hee University) ;
  • Kim, Yong-Suk (Dept. of Acupuncture & Moxibustion, Kangnam Kyung Hee Korean Hospital, Kyung Hee University) ;
  • Nam, Sang-Soo (Dept. of Acupuncture & Moxibustion, Kangnam Kyung Hee Korean Hospital, Kyung Hee University)
  • 하선윤 (경희대학교 강남경희한방병원 침구과) ;
  • 김동민 (경희대학교 강남경희한방병원 침구과) ;
  • 조성연 (경희대학교 강남경희한방병원 침구과) ;
  • 임인환 (경희대학교 강남경희한방병원 침구과) ;
  • 김용석 (경희대학교 강남경희한방병원 침구과) ;
  • 남상수 (경희대학교 강남경희한방병원 침구과)
  • Published : 2008.12.20

Abstract

Objectives : Chronic pain affects and is affected by physical and psychosocial factors. It also has a complicated and indefinite mechanism. This research is for clarifying relations with chronic pain, stress, and autonomic nerve system by comparing HRV and Stress Reaction Index(SRI) of chronic pain patients with those of acute pain patients. Methods : The subjects were 32 patients who visited Kangnam Kyunghee Hospital for nuchal pain or low back pain treatment from March 2008 to September 2008. Among them, 16 patients who suffered over 6 months are classified chronic pain group and 16 patients who suffered under 6 months as acute pain group. All subjects had their HRV(SA-2000E: Medicore Co..Ltd. Korea) and SRI measured at first visit. We studied the difference of HRV between two groups.(Statistics by Student t-test, p<0.05) Results : R-MSSD, TP, VLF, LF, HF and LF/HF ratio of the chronic pain group were significantly lower than those of the acute pain group. Compared with those of the acute pain group, total SRI of the chronic pain group were low but it's not significant except frustration. Conclusion : The results of HRV of the chronic pain group patients show that chronic pain is related to psychosocial factor and autonomic disturbance.

Keywords